| 外伤性脑脊液鼻漏(附86例报道) |
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| 引用本文： | 廖巍,林少华,黄汉添. 外伤性脑脊液鼻漏(附86例报道)[J]. 南方医科大学学报, 2003, 23(6): 629-630 |
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| 作者姓名： | 廖巍 林少华 黄汉添 |
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| 作者单位： | 中山市人民医院神经外科,广东,中山,528403;中山市人民医院神经外科,广东,中山,528403;中山市人民医院神经外科,广东,中山,528403 |
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| 摘 要： | 目的总结外伤性脑脊液鼻漏的诊断和治疗经验。方法分析1997~2001年间收治的86例外伤性脑脊液鼻漏临床资科,分手术治疗和保守治疗。结果15例(17.4%)行开颅手术治疗并完全封闭;71例(82.6%)保守治疗,全愈出院。无1例发生再漏现象。结论保守治疗时应注意头部位置,减低颅内压及抗炎治疗;手术治疗时应严密修补颅底破裂及易漏液部位。
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| 关 键 词： | 脑脊液鼻漏/外科学 |
| 文章编号： | 1000-2588(2003)06-0629-02 |
| 修稿时间： | 2003-02-04 |
Traumatic nasal cerebrospinal fluid fistula: report of 86 cases |
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| LIAO Wei,LIN Shao-hua,HUANG Han-tian. Traumatic nasal cerebrospinal fluid fistula: report of 86 cases[J]. Journal of Southern Medical University, 2003, 23(6): 629-630 |
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| Authors: | LIAO Wei LIN Shao-hua HUANG Han-tian |
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| Affiliation: | LIAO Wei,LIN Shao-hua,HUANG Han-tian Department of Neurosurgery,Zhongshan People's Hospital,Zhongshan 528403,China |
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| Abstract: | The clinical record of 86 cases of traumatic nasal cerebrospinal fluid (CSF) fistula treated either surgically or conservatively between1997 and 2001 was retrieved and analyzed. The fistula completely healed in 15 surgically treated patients (17.4%) and 71 conservatively treated patients (82.6%), and in the follow-up observation, recurrence was identified in none of the cases. Our experience approves the importance of head position, lowering intracranial pressure and application of antibiotics in the conservative therapy, and for surgical treatment, water-tight closure of the dura fistula should be performed. |
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| Keywords: | cerebrospinal rhinorrhea/surgery |
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